Understanding Facial and Scalp Numbness: Possible Causes and Concerns
Tingling sensation in the scalp and face? I'm not sure if I have hypertension, hyperlipidemia, or diabetes. I experienced facial numbness a couple of days ago, which was limited to my face, but today the numbness has spread to my entire head and face. I also noticed red stre...
Dr. Jiang Junyi Reply:
Dear Mr. Blue Sky, You have reached middle age, and the likelihood of developing metabolic syndrome and the three highs (hypertension, hyperlipidemia, and hyperglycemia) increases significantly. It is recommended that you take advantage of the free adult health checkups provided...[Read More] Understanding Facial and Scalp Numbness: Possible Causes and Concerns
Understanding Hand Numbness: When to Seek Medical Attention
Numbness in the hands? Hello Doctor: I usually experience numbness in my hands after intense exercise, but recently I've noticed that any movement of my hands causes numbness starting from my fingertips. If I continue to move, the numbness spreads to my entire palm, but if I...
Dr. Jiang Junyi Reply:
Dear Miss Yi-An, Your symptoms may be primarily attributed to hyperventilation caused by intense exercise, leading to sensations of abnormality. Hyperventilation can result in decreased carbon dioxide levels in the blood, causing an increase in pH, a condition known medically as...[Read More] Understanding Hand Numbness: When to Seek Medical Attention
Intermittent Thigh Pain After AZ Vaccine: What You Need to Know
Thigh pain Hello, I started experiencing intermittent cramping pain in my left thigh since last night. I recently received the AZ vaccine three to four days ago, and I'm concerned if this could be a related effect. Thank you.
Dr. Jiang Junyi Reply:
Hello, Miss: Your symptoms seem less likely to be caused by a thrombus and more indicative of a muscular issue. Do you experience any tingling or numbness? The adverse reaction of thrombosis associated with the AZ vaccine is currently referred to as VITT (Vaccine-induced immune t...[Read More] Intermittent Thigh Pain After AZ Vaccine: What You Need to Know
Understanding Cold Hands and Feet: Neurological Concerns Explained
Cold or numb hands and feet? Doctor, I have a question. When I was hiking, my hands would sometimes feel numb or cold. Taking a break would help, but it would happen again as soon as I continued hiking. Eventually, I started experiencing this even at work when I was in a hurry. I...
Dr. Jiang Junyi Reply:
Hello, sir: Your symptoms may indicate hyperventilation syndrome. Hyperventilation can lead to a decrease in carbon dioxide levels in the blood, resulting in an increased pH, a condition known medically as "respiratory alkalosis." This can trigger systemic reactions and...[Read More] Understanding Cold Hands and Feet: Neurological Concerns Explained
Post-Surgery Numbness in Hand: Causes and Solutions Explained
Numbness in the hand after removal of wrist internal fixation plate? Hello Doctor: At the end of March, I dislocated my right wrist due to a fall. The doctor initially said surgery wasn't necessary, but since I arrived too late and the dislocation was significant, I underwen...
Dr. Jiang Junyi Reply:
Hello, Miss: Your symptoms may suggest compression of the median nerve in your right hand. The median nerve passes through the wrist, traversing the "carpal tunnel" formed by the carpal bones and ligaments, and is subjected to pressure from the ligament located above th...[Read More] Post-Surgery Numbness in Hand: Causes and Solutions Explained
Understanding Nerve Pain and Tingling: Causes and Concerns
Numbness issues? The left hand fingers (ring finger and pinky) started to feel numb and painful suddenly two days ago, and then the numbness extended from the elbow to the shoulder. After 3-4 hours, the elbow and shoulder felt much better, but the fingers continued to feel numb. ...
Dr. Jiang Junyi Reply:
Hello: Your symptoms may initially suggest cervical nerve root compression, which is often related to tightness in the cervical muscles and fascia, as well as cervical degeneration. These issues should not affect the administration of the vaccine. It is recommended to drink plent...[Read More] Understanding Nerve Pain and Tingling: Causes and Concerns
Palpitations, Anxiety, and Neurological Symptoms: When to Seek Help
Palpitations, anxiety, and other symptoms? In February, I experienced palpitations for the first time and went to the emergency room. Blood tests showed no abnormalities, and follow-up with a cardiologist also indicated no issues. In March, I suddenly had a sharp pain on the left...
Dr. Jiang Junyi Reply:
Hello, Miss: You mentioned experiencing "sharp pain on the left side of your face," which may warrant consideration of trigeminal nerve dysfunction. The diagnostic criteria for trigeminal neuralgia are as follows: - At least three attacks - Pain occurring in one or m...[Read More] Palpitations, Anxiety, and Neurological Symptoms: When to Seek Help
Understanding Sudden Hand Numbness: Causes and When to Seek Help
Sudden unexplained hand numbness? Hello Dr. Jiang, I would like to briefly describe my physical condition. I am 158 cm tall and weigh 58 kg, with an average build. I have never had any blood pressure issues, but in the past week or two, I have experienced intermittent numbness i...
Dr. Jiang Junyi Reply:
Dear Miss Zhenzhen, Your symptoms may suggest peripheral nerve involvement. Your cardiovascular disease risk is relatively low. It may be worth considering compression of the nerve roots at the seventh cervical or first thoracic vertebrae. If the peripheral neuropathy is due to ...[Read More] Understanding Sudden Hand Numbness: Causes and When to Seek Help
Understanding Nerve Pain: Causes and When to Seek Medical Attention
Numbness issues? The ring finger and little finger of my left hand suddenly started to feel numb and painful two days ago. After about 3-4 hours, the numbness in my elbow and shoulder improved, but my fingers continued to feel numb. Suddenly bending my index finger causes pain, b...
Dr. Jiang Junyi Reply:
Dear Mr. Yuan, Your symptoms may suggest peripheral nerve involvement. It is possible that the ulnar nerve is being compressed, or that the nerve roots at the seventh cervical or first thoracic vertebrae are under pressure. If the nerve compression is causing peripheral neuropat...[Read More] Understanding Nerve Pain: Causes and When to Seek Medical Attention
Understanding Hand Numbness: Causes and Concerns for Your Health
Numbness in the hands? I apologize for bothering you, doctor. Some time ago, I spent a long time in bed using my phone and computer, and I have been experiencing pain in my left shoulder and neck that radiates down to my ring and little fingers, which sometimes feel numb. Occasio...
Dr. Cai Zongzhang Reply:
Hello! Based on the above, these symptoms do not match the clinical characteristics of amyotrophic lateral sclerosis (ALS). It is recommended to visit a neurology outpatient clinic.[Read More] Understanding Hand Numbness: Causes and Concerns for Your Health
Understanding Symptoms of Cerebellar Herniation: Headaches, Dizziness, and Neck Pain
Dizziness, headache, and tightness and pain in the shoulder and cervical spine? Hello, doctor. I started experiencing severe headaches, dizziness, neck tightness and pain, and numbness in my hands and feet around July of last year. I initially thought it was due to fatigue or hea...
Dr. Jiang Junyi Reply:
Hello, Miss: In addition to your original issues, we may need to consider vascular headaches, which could be related to your menstrual cycle. Furthermore, since you mentioned a connection to posture, we should consider "intracranial hypotension headache." The primary sy...[Read More] Understanding Symptoms of Cerebellar Herniation: Headaches, Dizziness, and Neck Pain
Understanding Thumb Numbness After a Minor Injury: What to Do?
Numbness in the hand after hitting the outer side of the thumb? Hello Doctor, yesterday afternoon while I was swatting a bug, I accidentally hit the outer side of my right thumb, which may include the joint and the area connected to the palm. At first, I didn't feel anything...
Dr. Jiang Junyi Reply:
Dear Ms. Mo, Based on your description, it seems there are two issues: one is acute nerve compression of the right radial nerve in the thumb, and the other is chronic cervical nerve compression. I recommend that you increase your intake of B vitamins and remind yourself to get u...[Read More] Understanding Thumb Numbness After a Minor Injury: What to Do?
Understanding Abnormal Skin Sensation: Causes and Recovery
Abnormal skin sensations? Hello, doctor. About a month ago, I suddenly experienced numbness and pain in my right knee. The numbness and pain have since subsided, but the skin in that area now feels less sensitive. After a neurological examination, the doctor concluded that there ...
Dr. Jiang Junyi Reply:
Dear Ms. Li, Your symptoms may suggest peripheral nerve injury. This is typically due to acute direct trauma such as nerve traction, tearing, or direct compression, and can also include chronic overuse, which may result from sustained muscle contractions, hypertrophy, or edema c...[Read More] Understanding Abnormal Skin Sensation: Causes and Recovery
Understanding Left Leg Numbness: Causes and When to Seek Help
Numbness in the left big toe? Hello, doctor. In recent months, I have been experiencing frequent pain in my left lower back, as well as occasional pain in my left pelvis and numbness in my left calf. Sometimes the pain is so severe that I cannot stand up straight. I would like to...
Dr. Jiang Junyi Reply:
Hello Ms. Cheng, The symptoms you mentioned may be related to nerve compression caused by posture. A herniated disc can lead to localized inflammatory responses resulting in lower back pain, which may extend to one or both sides of the buttocks or hips. If the herniated disc com...[Read More] Understanding Left Leg Numbness: Causes and When to Seek Help
Understanding Ankle Pain and Numbness in Children: A Guide for Parents
Ankle pain. Numbness extending to the hand as well? Hello, Doctor. I apologize for bothering you. My child has been complaining of leg pain since he was four years old. At first, we thought it was growing pains, but after a while, it didn't seem right. When I asked him, he s...
Dr. Cai Zongzhang Reply:
Hello! It is recommended to visit the pediatric neurology department at a medical center.[Read More] Understanding Ankle Pain and Numbness in Children: A Guide for Parents
Understanding Nerve Issues: From Tingling Limbs to Facial Symptoms
Numbness starting from the limbs to the face? Hello, I recently discovered that I often wake up with numbness in both arms while sleeping. Last week, I noticed that my left leg started to feel numb, followed by my right leg, both hands, and my scalp, which have been alternating i...
Dr. Jiang Junyi Reply:
Dear Ms. Sumi, Regarding the issue of sensory abnormalities you mentioned, since your symptoms are atypical, a comprehensive evaluation is recommended. Sensory nerve abnormalities can occur in various conditions and are generally classified as symmetrical or unilateral. In sym...[Read More] Understanding Nerve Issues: From Tingling Limbs to Facial Symptoms
Understanding Sudden Neck and Head Pain: When to Seek Neurology Help
Headache and neck pain, with the size and intensity of the pain points being consistent? Hello Doctor, thank you for taking the time to address my concerns amidst your busy schedule. Two days ago, while standing and working on a report, I suddenly experienced severe pain below my...
Dr. Jiang Junyi Reply:
Hello, Miss: You mentioned wanting to know if this is a sign of a blood clot. A: If a blood clot is present, you can check the D-dimer to see if the clotting index has risen. In the case of vertebral artery embolism, it is usually accompanied by symptoms of loss of motor function...[Read More] Understanding Sudden Neck and Head Pain: When to Seek Neurology Help
Midnight Stomach Cramps: Understanding Symptoms and When to Seek Help
Midnight stomach cramps and other symptoms? On June 17th, I suddenly felt nauseous in the early morning, accompanied by severe gastric cramps. After about five minutes, I started sweating profusely, and my hands and feet began to cramp (involuntary contractions, crossing towards ...
Dr. Jiang Junyi Reply:
Dear Ms. Lee, Your symptoms appear to be acute abdominal pain combined with hyperventilation. Acute gastritis may require identifying the underlying cause, such as medications, food, or peptic ulcers, among others. As for hyperventilation, it can lead to decreased carbon dioxide...[Read More] Midnight Stomach Cramps: Understanding Symptoms and When to Seek Help
Understanding Lateral Calf Numbness: Sciatica or Disc Herniation?
Bilateral calf paresthesia? In the morning, I experienced sudden numbness on the outer sides of my calves, and sometimes my ankles feel weak when walking, although I can still walk. I initially thought it was just a common foot numbness, but I noticed that the front of my calves ...
Dr. Jiang Junyi Reply:
Hello, Sir: You mentioned that the symptoms of numbness and weakness may suggest compression of the peroneal nerve. This could be due to improper exercise leading to muscle tightness, or prolonged sitting, which can also cause compression (sometimes sitting on the toilet for too ...[Read More] Understanding Lateral Calf Numbness: Sciatica or Disc Herniation?
Understanding Possible Drug Allergies: Neurological Symptoms and Treatment Options
Suspected drug allergy Dear Dr. Jiang, I have a few questions regarding my condition. About a month and a half ago, I had a small foreign object penetrate my left foot's fourth toe. During a skin biopsy at the hospital, I was prescribed a topical ointment called "Shipe...
Dr. Jiang Junyi Reply:
Hello David, Regarding the medication allergy you mentioned, particularly with ointments, it is rarely expressed in a neurological manner. Your symptoms may suggest lumbar nerve root compression. A common cause is inflammation resulting from a herniated disc, which can lead to l...[Read More] Understanding Possible Drug Allergies: Neurological Symptoms and Treatment Options